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2025 Spring Blood Drive Sign Up Sheet
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* Indicates required question
Name (Last, First)
*
Your answer
Telephone Number
*
Your answer
Block you are at ATC
*
1st ( 8:45-10:05 am)
2nd (10:35-11:55 am)
3rd( 12:35-1:55 pm)
4th (2:15-3:35 pm)
Teacher
*
Your answer
What age are you ( No parent permission form needed)
*
16 ( must have parent permission form turned in)
17 no permission form required
Parent's permission form given?
*
yes
no
How many times have you donated blood with One Blood?
*
one
two
three
more than three
zero
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